Kelly A Romano1, Kristin E Heron2, Kathryn E Smith3, Ross D Crosby4, Scott G Engel5, Stephen A Wonderlich6, Raina D Pang7, Tyler B Mason8. 1. The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA. Electronic address: kroma001@odu.edu. 2. The Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA; Department of Psychology, Old Dominion University, Norfolk, VA, USA. Electronic address: kheron@odu.edu. 3. Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA. Electronic address: Kathryn.Smith3@sanfordhealth.org. 4. Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA. Electronic address: Ross.Crosby@sanfordhealth.org. 5. Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA. Electronic address: Scott.Engel@sanfordhealth.org. 6. Center for Biobehavioral Research, Sanford Health, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA. Electronic address: Stephen.Wonderlich@sanfordhealth.org. 7. Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address: RPang@usc.edu. 8. Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address: tylermas@usc.edu.
Abstract
OBJECTIVE: The present study aimed to determine whether the momentary severity of women's somatic symptoms was concurrently and prospectively associated with their engagement in binge eating in naturalistic settings. METHOD: Thirty women (Mage = 34.13, SD = 13.92) who had engaged in binge eating at least once over the month prior to study entry completed a 14-day ecological momentary assessment (EMA) protocol. During each of the 14 days, participants received five semi-random surveys via text message that assessed momentary somatic symptom severity (i.e., headaches, stomachaches/pain, chest/heart pain, faintness/dizziness, shortness of breath, fatigue) and disordered eating behaviors. Generalized estimating equations were used to determine whether momentary somatic symptoms were concurrently and prospectively (i.e., by participants' next assessment) associated with the occurrence of binge eating behavior, while controlling for age and body mass index. RESULTS: At the within-person level, more severe stomachaches/pain, faintness/dizziness, shortness of breath, and fatigue were concurrently associated with an increased likelihood of engaging in binge eating. Further, at the between-person level, more severe stomachaches/pain, chest/heart pain, shortness of breath, and fatigue in general were associated with binge eating across the EMA protocol. Momentary stomachache/pain severity also prospectively predicted women's engagement in binge eating behavior at the next assessment. CONCLUSIONS: The present results provide initial evidence that multiple somatic symptoms may serve as momentary correlates or proximal antecedents of binge eating behavior in women's daily lives. Somatic symptoms may consequently prove useful to target in eating disorder treatments, perhaps via interoceptive exposure interventions.
OBJECTIVE: The present study aimed to determine whether the momentary severity of women's somatic symptoms was concurrently and prospectively associated with their engagement in binge eating in naturalistic settings. METHOD: Thirty women (Mage = 34.13, SD = 13.92) who had engaged in binge eating at least once over the month prior to study entry completed a 14-day ecological momentary assessment (EMA) protocol. During each of the 14 days, participants received five semi-random surveys via text message that assessed momentary somatic symptom severity (i.e., headaches, stomachaches/pain, chest/heart pain, faintness/dizziness, shortness of breath, fatigue) and disordered eating behaviors. Generalized estimating equations were used to determine whether momentary somatic symptoms were concurrently and prospectively (i.e., by participants' next assessment) associated with the occurrence of binge eating behavior, while controlling for age and body mass index. RESULTS: At the within-person level, more severe stomachaches/pain, faintness/dizziness, shortness of breath, and fatigue were concurrently associated with an increased likelihood of engaging in binge eating. Further, at the between-person level, more severe stomachaches/pain, chest/heart pain, shortness of breath, and fatigue in general were associated with binge eating across the EMA protocol. Momentary stomachache/pain severity also prospectively predicted women's engagement in binge eating behavior at the next assessment. CONCLUSIONS: The present results provide initial evidence that multiple somatic symptoms may serve as momentary correlates or proximal antecedents of binge eating behavior in women's daily lives. Somatic symptoms may consequently prove useful to target in eating disorder treatments, perhaps via interoceptive exposure interventions.
Authors: Scott G Engel; Ross D Crosby; Graham Thomas; Dale Bond; Jason M Lavender; Tyler Mason; Kristine J Steffen; Dan D Green; Stephen A Wonderlich Journal: Curr Psychiatry Rep Date: 2016-04 Impact factor: 5.285
Authors: Christine M Peat; Lu Huang; Laura M Thornton; Ann F Von Holle; Sara E Trace; Paul Lichtenstein; Nancy L Pedersen; D Wayne Overby; Cynthia M Bulik Journal: J Psychosom Res Date: 2013-08-27 Impact factor: 3.006
Authors: Laura M Thornton; Hunna J Watson; Andreas Jangmo; Elisabeth Welch; Camilla Wiklund; Yvonne von Hausswolff-Juhlin; Claes Norring; Barry K Herman; Henrik Larsson; Cynthia M Bulik Journal: Int J Eat Disord Date: 2016-09-19 Impact factor: 4.861
Authors: Helen Burton Murray; Melissa J Dreier; Hana F Zickgraf; Kendra R Becker; Lauren Breithaupt; Kamryn T Eddy; Jennifer J Thomas Journal: Int J Eat Disord Date: 2021-04-22 Impact factor: 4.861